Stephanie L. Williams, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

02006278A Issued in IN

Practice address

Schneck Primary Care Jackson Park
1124 Medical Place
Seymour, IN 47274

Phone

(812) 522-1613

Fax

(812) 522-6694

NPI assigned

Apr 2, 2019

Last updated

Jun 17, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Dr. Stephanie L. Harris Former name

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Marian University College of Osteopathic Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jackson County Schneck Memorial HospitalGroup PAC ID 8224004585, 139 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Schneck Medical Center Home Health Care Home health agency, Seymour, IN, CCN 157155
• Schneck Medical Center Hospital, Seymour, IN, CCN 150065

Merit-based Incentive Payment System (MIPS)

Final score

93.97 of 100Reported as apm

Quality

85.1

Promoting interoperability

94.69

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jackson County Schneck Memorial Hospital

  dba Schneck Medical Center

  • Anesthesiology Physician
  • Seymour, IN
  • NPI 1629143037

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Jackson County Schneck Memorial Hospital

  dba Schneck Primary Care

  • Rural Health Clinic/Center
  • Seymour, IN
  • NPI 1295310753
  NPD (past)
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)
• Seymour Indiana Pathologists, Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Seymour, IN
  • NPI 1124237987
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Jackson County Schneck Memorial Hospital

  dba Schneck Medical Center Home Health Care

  • Home Health Agency
  • Seymour, IN
  • NPI 1164485553
  Care Compare affiliation
• Jackson County Schneck Memorial Hospital

  dba Schneck Medical Center

  • General Acute Care Hospital
  • Seymour, IN
  • NPI 1699738088
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1679035430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SCHNECK PRIMARY CARE JACKSON PARK",
            "address_2": "1124 MEDICAL PLACE",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "47274",
            "telephone_number": "812-522-1613",
            "fax_number": "812-522-6694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SCHNECK PRIMARY CARE JACKSON PARK",
            "address_2": "1124 MEDICAL PLACE",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "47274",
            "telephone_number": "812-522-1613",
            "fax_number": "812-522-6694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "STEPHANIE",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-02",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IN",
            "license": "11020654A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02006278A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "HARRIS",
            "middle_name": "L.",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lynnette Caudill Wickliff, RN, MSN, FNP
• Jacob Dean Wiegand
• Makenze Taylor Wieneke, NP
• Richard Allen Wiethoff, MD
• Kristopher Michael Williams, DO
• David S Wilson, MD
• Emily Marie Wilson, RBT
• Matthew C Wilson, D.O.
• Riley Jane Wilson, OD
• Steven Windley

• Family Medicine Physician in Seymour, IN
• Providers in Seymour, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.